Organization Active NPI

Archive Properties, Inc.

  • Customized Equipment (DME)
  • Plant City, FL
National Provider Identifier
1811223183
Registry record updated Oct 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
CRC057243 Issued in FL
Legal business name
ARCHIVE PROPERTIES, INC.
Practice address
6322 Barton Rd
Plant City, FL 33565-4824
Phone
(813) 478-1183
Fax
(813) 986-1254
NPI assigned
Oct 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Devon B Higginbotham
Title
President
Phone
(813) 478-1183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X CRC057243 FL Primary

Addresses

Primary practice location

6322 Barton Rd
Plant City, FL 33565-4824

Mailing address

6322 Barton Rd
Plant City, FL 33565-4824
Phone (813) 478-1183

Other identifiers 2

IdentifierTypeStateIssuer
693629696MedicaidFL
693629698MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256083200000",
    "number": "1811223183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6322 BARTON RD",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335654824",
            "telephone_number": "813-478-1183",
            "fax_number": "813-986-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6322 BARTON RD",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335654824",
            "telephone_number": "813-478-1183",
            "fax_number": "813-986-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHIVE PROPERTIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-21",
        "last_updated": "2009-10-21",
        "status": "A",
        "authorized_official_last_name": "HIGGINBOTHAM",
        "authorized_official_first_name": "DEVON",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-478-1183",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "FL",
            "license": "CRC057243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "693629696",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "693629698",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.